Individual provider Active NPI

Barbara Kornfeld, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1497104491
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019886 Issued in NY
Practice address
4915 Surf Ave
Brooklyn, NY 11224-1101
Phone
(718) 946-4894
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019886 NY Primary

Addresses

Primary practice location

4915 Surf Ave
Brooklyn, NY 11224-1101

Mailing address

4915 Surf Ave
Brooklyn, NY 11224-1101
Phone (718) 946-4894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160902001789 NY Practitioner - Physician Assistant 1456647270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology PCGroup PAC ID 3274526850, 67 clinicians

Practice addresses (Care Compare)

101 Pennsylvania Ave
FL 7
Brooklyn, NY 11207-2428
Phone (646) 979-8538

10460 Queens Blvd
Suite 1C
Forest Hills, NY 11375-7301
Phone (718) 275-5555

1660 E 14TH St
Suite 3a
Brooklyn, NY 11229-1170
Phone (718) 376-0500

4 Technology Dr
Suite 180
East Setauket, NY 11733-4068
Phone (631) 689-3188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Average Dermatology Nyc PC Past Accepting new patients
Howard D. Solomon, DO, PC Past Accepting new patients
Anthony Buglino DO PLLC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: bkornfield@advderm.emadirect.md

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1497104491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241101",
            "telephone_number": "718-946-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241101",
            "telephone_number": "718-946-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNFELD",
        "first_name": "BARBARA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.